| NPI | 1447766100 |
|---|---|
| Doing Business As | 10TH STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | MEGAN JOANN DIAZ-FREED Dentist 605-261-5709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: SD D1000) |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2017-12-18 |